Claim total
$3,627.57
base $127.17 · payer covered $2,902.06
The visit
- Class
- Inpatient
- Code
- 305408004
- Reason
- diagnosis concept Sterilization requested183996000
- Start
- 2020-12-02
- Stop
- 2020-12-03
The parties
- Patient
- patient Natacha Mertz
- Provider
- provider Leta Sipes
- Payer
- payer Medicare
Record id
26aae4f1-7e29-a4a4-cdf0-d8e391dfa736